The effects of massage therapy in hospitalized preterm neonates: A systematic review

Álvarez, María José Pérez; Fernández, Daniel; Gómez‐Salgado, Juan; Rodríguez-González, Dolores; Rosón, María; Lapeña, Santiago

doi:10.1016/j.ijnurstu.2017.02.009

Cited by 91 publications

(66 citation statements)

References 43 publications

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“…An example of this can also be found in the human literature where unpredictable and fragmented handling and sensory stimulation provided to preterm infants during the course of intensive care has been associated with numerous adverse outcomes such as hypoxemia (Long, Philip, & Lucey, 1980) and acute heart rate increases (Zahr & Balian, 1995). Thus, minimal handling is a recommended practice for preterm infants (Álvarez et al, 2017; Symington & Pinelli, 2006; VandenBerg, 2007). …”

Section: Introductionmentioning

confidence: 99%

Chronic early life stress induced by limited bedding and nesting (LBN) material in rodents: critical considerations of methodology, outcomes and translational potential

Walker

Bath

Joëls

et al. 2017

Stress

267

298

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The immediate and long term effects of exposure to early life stress (ELS) have been documented in humans and animal models. Even relatively brief periods of stress during the first 10 days of life in rodents can impact later behavioral regulation and the vulnerability to develop adult pathologies, in particular an impairment of cognitive functions and neurogenesis, but also modified social, emotional and conditioned fear responses. The development of preclinical models of ELS exposure allows the examination of mechanisms and testing of therapeutic approaches that are not possible in humans. Here we describe limited bedding and nesting (LBN) procedures, with models that produce altered maternal behavior ranging from fragmentation of care to maltreatment of infants. The purpose of this paper is to discuss important issues related to the implementation of this chronic ELS procedure and to describe some of the most prominent endpoints and consequences, focusing on areas of convergence between laboratories. Effects on the hypothalamic-pituitary adrenal (HPA) axis, gut axis and metabolism are presented in addition to changes in cognitive and emotional functions. Interestingly, recent data have suggested a strong sex difference in some of the reported consequences of the LBN paradigm, with females being more resilient in general than males. As both the chronic and intermittent variants of the LBN procedure have profound consequences on the offspring with minimal external intervention from the investigator, this model is advantageous ecologically and has a large translational potential. In addition to the direct effect of ELS on neurodevelopmental outcomes, exposure to adverse early environments can also have intergenerational impacts on mental health and function in subsequent generation offspring. Thus, advancing our understanding of the effect of ELS on brain and behavioral development is of critical concern for the health and wellbeing of both the current population, and for generations to come.

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Section: Introductionmentioning

confidence: 99%

Chronic early life stress induced by limited bedding and nesting (LBN) material in rodents: critical considerations of methodology, outcomes and translational potential

Walker

Bath

Joëls

et al. 2017

Stress

267

298

View full text Add to dashboard Cite

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“…Compared with infants carried to term, preterm infants face challenges in their growth at the same postconception age (Ehrenkranz, ). A thorough literature review indicated that safe and relatively inexpensive massage intervention in the NICU improved growth and developmental activities in the preterm infants and did not reveal adverse effects (Alvarez et al, ). However, the beneficial effects of massage intervention by trained mothers need to be examined (Choi et al, ).…”

Section: Introductionmentioning

confidence: 99%

Massage intervention for preterm infants by their mothers: A randomized controlled trial

Zhang

Wang

2019

Specialist Pediatric Nursing

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Objective: Studies of the impact of infant massage intervention on the growth of preterm infants have been conducted in neonatal intensive care units (NICUs) and have demonstrated positive effects; however, few data exist regarding the effects of massage interventions by mothers on the growth of infants in the NICU. The purpose of this randomized controlled trial was to examine the effects of a 2-week massage intervention conducted by mothers on their preterm infants.Methods: Of 112 stable preterm infants born at a gestational age (GA) between 32 and 34 weeks and enrolled from an affiliated hospital, 54 were randomly allocated to an intervention group, and 58 were allocated to a control group. Mothers were trained to conduct a massage intervention in the intervention group, while the control group received standard care. For the infants in both groups, height (Ht), weight (Wt), and head circumference (HC) were measured at the onset of massage intervention, after one week, and after two weeks. Fifteen mothers were interviewed about their preparation for and completion of the massage intervention.Results: Repeated-measures analysis of variance showed that weight, height and head circumference significantly increased in the intervention group. Preterm infants who underwent the two-week massage intervention had higher mean weight, height, and head circumference (F = 41.151, 6.621, 24.158, respectively; p < .001). This study developed modified massage intervention guidance to provide recommendations for optimal massage intervention by mothers in the NICU: (a) Adapt to the NICU atmosphere; (b) control the mother's strength; (c) slowly perform each period of the massage, that is (i) place in a prone position (5 + 5 min); (ii) place in supine position (5 min); (d) stay relaxed and watch the preterm infant's response.Practice Implications: Trained mothers conducted massage interventions, which can improve the growth of preterm infants. We developed massage intervention guidance to provide recommendations for optimal massage intervention by mothers in the NICU. We recommend that mothers apply massage intervention for preterm infants in the NICU. K E Y W O R D Sgrowth, massage intervention, premature, preterm infants J Spec Pediatr Nurs. 2019;24:e12238.wileyonlinelibrary.com/journal/jspn

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“…However, Alvarez et al. () performed a systematic review to evaluate studies on the administration of therapeutic massage to preterm neonates during their stay in the neonatal intensive care unit, suggesting that a clear benefit is obtained from the administration of massage therapy in hospitalised preterm infants. These differences may be due to the different subjects.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of aromatherapy and massage on stress management in nurses: A systematic review

Zhao

Shi

et al. 2018

Journal of Clinical Nursing

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The effects of massage therapy in hospitalized preterm neonates: A systematic review

Cited by 91 publications

References 43 publications

Chronic early life stress induced by limited bedding and nesting (LBN) material in rodents: critical considerations of methodology, outcomes and translational potential

Chronic early life stress induced by limited bedding and nesting (LBN) material in rodents: critical considerations of methodology, outcomes and translational potential

Massage intervention for preterm infants by their mothers: A randomized controlled trial

The effectiveness of aromatherapy and massage on stress management in nurses: A systematic review

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